MARK E LOGAN MD PC NPI 1003117078

NPI Information

MARK E LOGAN MD PC is an addiction medicine internal medicine in Rutland, VT. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. MARK E LOGAN MD PC NPI is 1003117078. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Green Mountain Family Medicine.

The provider's business location address is:

199 STRATTON RD
RUTLAND, VT
ZIP 05701-621
Phone: (802) 775-7798
Fax: (802) 775-7762

The provider's authorized official is Mark E Logan .
The authorized official title is Owner and has the following contact phone number (802) 775-7798.

The enumeration date for this NPI number is 11/8/2010 and was last updated on 1/12/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.